NPI | 1407431174 |
---|---|
Doing Business As | WESTSIDEMED |
Entity Type | Organization |
Authorized Contact | ARIEL ESTEVES Np/Owner 404-692-1050 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-03-15 |
Last Update Date | 2021-03-15 |